Admit Type for APACHE II: Difference between revisions

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''Note: This is'' '''''not''''' ''for [[Patient Type]] which is part of registry screen.''
{{Data_element
| field_name = Ap_AdmitType
| CCMDB_label = Admit Type
| CCMDB_tab = Apache
| element_description = The Admit Type for APACHE II is a way to classify patients' surgical status and one of the elements used to generate the [[APACHE_Scoring_table#Chronic_Health_Score | APACHE score]].
| in_table = L_Log table
| data_type = string
| datafield_length = 10
| program_collecting = Med and CC
| created_raw = Raw
| data_element_sort_index = 55
}}


== Collection Instructions ==
Code as follows:
* "Surgical Emergency" only if patient meets the criteria in [[Emergency Surgery (concept)]]
* "Elective Surgery" only if the patient had surgery that didn't meet criteria in [[Emergency Surgery (concept)]], and '''was admitted directly from the OR or the Recovery Room'''
*"Medical" for all other patients (even those with recent surgeries)


== Relevance ==
Patients with:
* [[Chronic Health APACHE]] + [[Emergency Surgery (concept)|emergent surgery]] or non operative (medical patient) = '''5''' points
* [[Chronic Health APACHE]] + elective surgery = '''2''' points
* No [[Chronic Health APACHE]] = 0 points


The '''Admit Type for [[:Category:APACHE II|APACHE II]]''' is a way to classify patients surgical status. It is one of the elements used to generate the APACHE score.  
== CCI has no concept for emergent ==
CCI has no way to code the concept of "emergent" so we need to continue to collect this item as is.  


The classification has to be consistent for proper scoring. There have been problems in the past when '''urgent''' surgery was included under '''emergency''' surgery.
== Implementation ==
The possible values are listed in [[S AP AdmitType table]].


As with all APACHE items, the assessment is made during the first 24hrs in the ICU.
== Related articles ==
{{Related Articles}}


== Data Definition/Clarification ==
Clarification is for the purpose of uniform application of definition at all data collection sites.
There is a discrepancy in the selection of admit type for APACHE for the ICU.
Those patients that are "''urgent surgery''" in particular seem to be an issue. Some collectors are including urgent surgery with the      emergency surgery group, others as are including them with the elective surgery group. "''Urgent''" surgery should be coded as '''elective''' surgery.
To classify a patient, follow this chart:


[[Image:Patient Type Flowchart.gif]]
[[Category: APACHE II]]
 
 
{{Discussion}}
== Discussion ==
 
 
[[Category:Data_Collection_Guide]]
[[Category:APACHE II]]
*I know we have talked about this but can you define "immediate"  in  "immediate surgery essential for pt survival"[[User:MWaschuk|MWaschuk]] 14:14, 17 June 2008 (CDT)

Latest revision as of 13:28, 2022 January 6

Data Element (edit)
Field Name: Ap_AdmitType
CCMDB Label: Admit Type
CCMDB tab: Apache
Table: L_Log table
Data type: string
Length: 10
Program: Med and CC
Created/Raw: Raw
Start Date: 1988-07-11
End Date: 2300-01-01
Sort Index: 55

The Admit Type for APACHE II is a way to classify patients' surgical status and one of the elements used to generate the APACHE score.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


Collection Instructions

Code as follows:

  • "Surgical Emergency" only if patient meets the criteria in Emergency Surgery (concept)
  • "Elective Surgery" only if the patient had surgery that didn't meet criteria in Emergency Surgery (concept), and was admitted directly from the OR or the Recovery Room
  • "Medical" for all other patients (even those with recent surgeries)

Relevance

Patients with:

CCI has no concept for emergent

CCI has no way to code the concept of "emergent" so we need to continue to collect this item as is.

Implementation

The possible values are listed in S AP AdmitType table.

Related articles

Related articles:
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